Organization Active NPI

Pelvic Care Physical Therapy, LLC

  • Physical Therapist
  • Norman, OK
National Provider Identifier
1699318626
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PELVIC CARE PHYSICAL THERAPY, LLC
Practice address
3770 W Robinson St Ste 112
Norman, OK 73072-3641
Phone
(405) 922-3563
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Rook, PT, DPTNPI 1467974626
Title
Physical Therapist
Phone
(405) 922-3563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3770 W Robinson St Ste 112
Norman, OK 73072-3641

Mailing address

1337 SW 83Rd St
Oklahoma City, OK 73159-5923
Phone (405) 922-3563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211207000884 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517357528 Receives reassigned benefits from 2 practitioners
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

3770 W Robinson St
Ste 112
Norman, OK 73072
Phone (405) 240-9575

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1699318626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 SW 83RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731595923",
            "telephone_number": "405-922-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 W ROBINSON ST STE 112",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723641",
            "telephone_number": "405-922-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC CARE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "ROOK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-922-3563",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.